Provider Demographics
NPI:1265732655
Name:ANGEL'S CARE HOME HEALTH SERVICES, INC
Entity type:Organization
Organization Name:ANGEL'S CARE HOME HEALTH SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:VINCENT
Authorized Official - Middle Name:
Authorized Official - Last Name:SANCHEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:773-279-8078
Mailing Address - Street 1:5418 N KEDZIE AVE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60625-3922
Mailing Address - Country:US
Mailing Address - Phone:773-279-8078
Mailing Address - Fax:773-279-8079
Practice Address - Street 1:5418 N KEDZIE AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60625-3922
Practice Address - Country:US
Practice Address - Phone:773-279-8078
Practice Address - Fax:773-279-8079
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-01
Last Update Date:2020-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL2004199251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
No251E00000XAgenciesHome Health